We will continue to evaluate Fred and his health in this second case study. From the first case study:

Question 1 We will continue to evaluate Fred and his health in this second case study. From the first case study:

 

Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease.

 

In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a blueberry muffin and a large latte.

 

For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk.

 

After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house.

 

After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed.

 

This is Fred’s second visit and you complete an assessment.

 

     Age: 56

 

Height: 5 feet 10 inches                            Weight: 270 pounds                Healthy Weight: 129-173 pounds

 

You check his blood pressure and it remains elevated.  Fred appears to be having difficulty walking and is short of breath.

 

1.            Thinking about the ABCDE method of assessments, what 2 types of assessment did you complete on this patient?

 

Question 2  We will continue to evaluate Fred and his health in this second case study. From the first case study:

 

Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease.

 

 In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a blueberry muffin and a large latte.

 

For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk.

 

 After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house.

 

After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed.

 

This is Fred’s second visit and you complete an assessment.

 

     Age: 56

 

Height: 5 feet 10 inches                            Weight: 270 pounds                Healthy Weight: 129-173 pounds

 

You check his blood pressure and it remains elevated.  Fred appears to be having difficulty walking and is short of breath.

 

 2.   Using your assessment and the information you have gained from the first case study, name three diseases that Fred may be at risk for:

 

a.

 

b.

 

c.

 

Question 3  We will continue to evaluate Fred and his health in this second case study. From the first case study:

 

Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease.

 

In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a blueberry muffin and a large latte.

 

 For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk.

 

 After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house.

 

After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed.

 

This is Fred’s second visit and you complete an assessment.

 

     Age: 56

 

Height: 5 feet 10 inches                            Weight: 270 pounds                Healthy Weight: 129-173 pounds

 

You check his blood pressure and it remains elevated.  Fred appears to be having difficulty walking and is short of breath.

 

3.  You explain to Fred that you reviewed his diet intake record and that there are several changes that he could make to improve his health. Using the dietary guidelines and myplate provide 4 suggestions to Fred to improve his diet and his health. (any of the below would be acceptable)

 

a.

 

b.

 

c.

 

d.

 

Question 4 We will continue to evaluate Fred and his health in this second case study. From the first case study:

 

Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease.

 

 

 

In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a blueberry muffin and a large latte.

 

For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk.

 

 After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house.

 

After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed.

 

This is Fred’s second visit and you complete an assessment.

 

     Age: 56

 

Height: 5 feet 10 inches                            Weight: 270 pounds                Healthy Weight: 129-173 pounds

 

You check his blood pressure and it remains elevated.  Fred appears to be having difficulty walking and is short of breath.

 

4.  As you discuss some of the suggestions, Fred mentions that his PCP told him that he was at risk for diverticulitis. However, he is not familiar with this term. All he knows is that he should increase his fiber.

 

Explain to Fred what has occurred in the colon when the diagnosis of diverticulitis is made. (3 points)  Include two reasons that diverticulitis occurs. (4 points)

 

Question 5 We will continue to evaluate Fred and his health in this second case study. From the first case study:

 

Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease.

 

In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a blueberry muffin and a large latte.

 

 For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk.

 

 After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house.

 

After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed.

 

 This is Fred’s second visit and you complete an assessment.

 

     Age: 56

 

Height: 5 feet 10 inches                            Weight: 270 pounds                Healthy Weight: 129-173 pounds

 

You check his blood pressure and it remains elevated.  Fred appears to be having difficulty walking and is short of breath.

 

 5.  Fred requests information on soluble fiber and insoluble fiber and how each can help improve his health. Give a brief overview and explain the difference between the two types of fiber. Give an example of a health concern or disease that each type can prevent.

 

Question 6 We will continue to evaluate Fred and his health in this second case study. From the first case study:

 

Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease.

 

In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a blueberry muffin and a large latte.

 

 For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk.

 

 After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house.

 

After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed.

 

 This is Fred’s second visit and you complete an assessment.

 

     Age: 56

 

Height: 5 feet 10 inches                            Weight: 270 pounds                Healthy Weight: 129-173 pounds

 

You check his blood pressure and it remains elevated.  Fred appears to be having difficulty walking and is short of breath.

 

6.  As the session concludes, you recommend that Fred consider a vegetarian style of eating, at least for several days a week. Review the difference between a semi vegetarian, a lacto ovo vegetarian and a pesco vegetarian.